Scholars@Duke
Matthew Don Barber

Matthew Don Barber

W. Allen Addison, M.D. Distinguished Professor of Obstetrics and Gynecology
Obstetrics and Gynecology
matthew.barber@duke.edu
DUMC Box 3810, Duke Clinic Suite 1293, Durham, NC 27710
200 Trent Drive, Box 3810 Duke Clinic Ste 1293, Durham, NC 27710

Scholarly Works - Journal articles

Goal Achievement in Women With Urinary Incontinence After Midurethral Sling.

Journal article Urogynecology (Phila) · June 18, 2026 IMPORTANCE: Treatment goals are understudied among women undergoing midurethral sling (MUS) surgery for mixed urinary incontinence (MUI). OBJECTIVES: The objectives of this study were to describe treatment goals in participants with MUI undergoing MUS with ... Full text Link to item Cite

MRI 2-D Parameters Associated with Native Tissue or Transvaginal Mesh Surgical Apical Prolapse Repair Failure.

Journal article Int Urogynecol J · May 30, 2026 INTRODUCTION AND HYPOTHESIS: Magnetic resonance imaging (MRI) can evaluate individual components of postsurgical recurrent prolapse that may not be visible on physical examination and provide insights into mechanisms of prolapse recurrence. METHODS: This p ... Full text Link to item Cite

Postoperative Sexual Function After Vaginal Surgery and Clitoral Size, Position, and Shape.

Journal article JAMA Surg · April 1, 2025 IMPORTANCE: Transvaginal surgery is commonly performed to treat pelvic organ prolapse. Little research focuses on how sexual function relates to clitoral anatomy after vaginal surgery despite the clitoris' role in the sexual response. OBJECTIVE: To determi ... Full text Link to item Cite

The Role of Sleep Apnea in Postoperative Neurocognitive Disorders Among Older Noncardiac Surgery Patients: A Prospective Cohort Study.

Journal article Anesth Analg · January 1, 2025 BACKGROUND: Obstructive sleep apnea is associated with increased dementia risk, yet its role in postoperative neurocognitive disorders is unclear. Here, we studied whether the severity of untreated obstructive sleep apnea is associated with the severity of ... Full text Open Access Link to item Cite

Measuring Pelvic Organ Prolapse: An Evolution.

Journal article Int Urogynecol J · May 2024 INTRODUCTION AND HYPOTHESIS: Advances in our understanding of pelvic organ prolapse (POP) have been made with the introduction of valid, reliable measures of anatomy and patient-reported outcome measures. METHODS: This review provides an overview of the ev ... Full text Link to item Cite

Vaginal morphology and position associated with prolapse recurrence after vaginal surgery: A secondary analysis of the DEMAND study.

Journal article BJOG · February 2024 OBJECTIVE: To identify vaginal morphology and position factors associated with prolapse recurrence following vaginal surgery. DESIGN: Secondary analysis of magnetic resonance images (MRI) of the Defining Mechanisms of Anterior Vaginal Wall Descent cross-se ... Full text Link to item Cite

International urogynecological consultation chapter 4.1: definition of outcomes for pelvic organ prolapse surgery.

Journal article Int Urogynecol J · November 2023 INTRODUCTION AND HYPOTHESIS: This manuscript of Chapter 4 of the International Urogynecological Consultation (IUC) on Pelvic Organ Prolapse (POP) reviews the literature and makes recommendations on the definition of success in the surgical treatment of pel ... Full text Link to item Cite

Standard Restrictions vs Expedited Activity After Pelvic Organ Prolapse Surgery: A Randomized Clinical Trial.

Journal article JAMA Surg · August 1, 2023 IMPORTANCE: Restrictions on postoperative activity following pelvic organ prolapse (POP) surgery are not evidence based. Nonetheless, many pelvic surgeons place lifting and activity restrictions on patients following surgery. OBJECTIVE: To evaluate whether ... Full text Link to item Cite

Call to Readiness: The Urogynecologist's Role in Post-Roe America.

Journal article Urogynecology (Phila) · November 1, 2022 Full text Link to item Cite

The Patient Acceptable Symptom State in Female Urinary Incontinence.

Journal article Female Pelvic Med Reconstr Surg · January 1, 2022 OBJECTIVE: The objective of this study is to characterize an acceptable health state, using the patient acceptable symptom state (PASS) question, in adult women with urinary incontinence. METHODS: This is a prospective multicenter cohort study determining ... Full text Link to item Cite

Defining mechanisms of recurrence following apical prolapse repair based on imaging criteria.

Journal article Am J Obstet Gynecol · November 2021 BACKGROUND: Prolapse recurrence after transvaginal surgical repair is common; however, its mechanisms are ill-defined. A thorough understanding of how and why prolapse repairs fail is needed to address their high rate of anatomic recurrence and to develop ... Full text Link to item Cite

Reliability of Symptoms and Dipstick for Postoperative Catheter-Associated Urinary Tract Infections.

Journal article Female Pelvic Med Reconstr Surg · June 1, 2021 OBJECTIVE: The aim of the study was to determine the diagnostic reliability of patient symptoms and urine dipstick results, including blood, leukocyte esterase, and nitrite, in diagnosing postoperative catheter-associated urinary tract infections (CAUTIs) ... Full text Link to item Cite

Success and failure are dynamic, recurrent event states after surgical treatment for pelvic organ prolapse.

Journal article Am J Obstet Gynecol · April 2021 BACKGROUND: The ideal measure of success after surgery for pelvic organ prolapse has long been debated. Historically, strict definitions based on anatomic perfection have dominated the literature. However, the importance of patient-centered perception of o ... Full text Link to item Cite

The responsiveness and minimally important difference for the Accidental Bowel Leakage Evaluation questionnaire.

Journal article Int Urogynecol J · December 2020 INTRODUCTION AND HYPOTHESIS: We describe the responsiveness and minimally important difference (MID) of the Accidental Bowel Leakage Evaluation (ABLE) questionnaire. METHODS: Women with bowel leakage completed ABLE, Patient Global Impression of Improvement ... Full text Link to item Cite

The Effect of Catheterization on Susceptibility of Uropathogens After Pelvic Reconstructive Surgery.

Journal article Female Pelvic Med Reconstr Surg · November 2020 OBJECTIVE: The aim of this study was to determine whether bacterial uropathogens from positive urine cultures and uropathogen antibiotic susceptibility differ between catheterized (C) and noncatheterized (NC) patients after pelvic reconstructive surgery. M ... Full text Link to item Cite

Intraoperative Evaluation of Urinary Tract Injuries at the Time of Pelvic Surgery: A Systematic Review.

Journal article Female Pelvic Med Reconstr Surg · November 2020 OBJECTIVE: The aim of this study was to determine the safety and efficacy of methods for intraoperative evaluation of urinary tract injury during pelvic surgery. METHODS: PubMed, EMBASE, CINAHL, Web of Science, Scopus, ProQuest, the Cochrane Library, and C ... Full text Link to item Cite

Outcomes of native tissue transvaginal apical approaches in women with advanced pelvic organ prolapse and stress urinary incontinence.

Journal article Int Urogynecol J · October 2020 INTRODUCTION AND HYPOTHESIS: Limited data exist comparing different surgical approaches in women with advanced vaginal prolapse. This study compared 2-year surgical outcomes of uterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SSLF) ... Full text Link to item Cite

Trust in Peer Review.

Journal article Female Pelvic Med Reconstr Surg · October 2020 Full text Link to item Cite

Immediate Postoperative Pelvic Organ Prolapse Quantification Measures and 2-Year Risk of Prolapse Recurrence.

Journal article Obstet Gynecol · October 2020 OBJECTIVE: To assess whether resting genital hiatus, perineal body, and total vaginal length measured intraoperatively at the conclusion of surgery are associated with prolapse recurrence 2 years after native tissue pelvic organ prolapse reconstruction. ME ... Full text Link to item Cite

Thank You to FPMRS Peer Reviewers

Journal article Female Pelvic Medicine & Reconstructive Surgery · August 2020 Full text Cite

Accidental Bowel Leakage Evaluation: A New Patient-Centered Validated Measure of Accidental Bowel Leakage Symptoms in Women.

Journal article Dis Colon Rectum · May 2020 BACKGROUND: Questionnaires assessing accidental bowel leakage lack important patient-centered symptoms. OBJECTIVE: We aimed to create a valid measure of accidental bowel leakage symptoms. DESIGN: We previously created a conceptual framework capturing patie ... Full text Link to item Cite

Summary: 2017 International Consultation on Incontinence Evidence-Based Surgical Pathway for Pelvic Organ Prolapse.

Journal article Female Pelvic Med Reconstr Surg · 2020 OBJECTIVE: The aim of this article is to summarize the relevant findings that inform the 2017 International Consultation on Incontinence pathway for surgical treatment of pelvic organ prolapse (POP). METHODS: We conducted an evidence-based review of the En ... Full text Link to item Cite

Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery vs Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence: The ESTEEM Randomized Clinical Trial.

Journal article JAMA · September 17, 2019 IMPORTANCE: Mixed urinary incontinence, including both stress and urgency incontinence, has adverse effects on a woman's quality of life. Studies evaluating treatments to simultaneously improve both components are lacking. OBJECTIVE: To determine whether c ... Full text Link to item Cite

Effect of Vaginal Mesh Hysteropexy vs Vaginal Hysterectomy With Uterosacral Ligament Suspension on Treatment Failure in Women With Uterovaginal Prolapse: A Randomized Clinical Trial.

Journal article JAMA · September 17, 2019 IMPORTANCE: Vaginal hysterectomy with suture apical suspension is commonly performed for uterovaginal prolapse. Transvaginal mesh hysteropexy is an alternative option. OBJECTIVE: To compare the efficacy and adverse events of vaginal hysterectomy with sutur ... Full text Link to item Cite

Controlling faecal incontinence in women by performing anal exercises with biofeedback or loperamide: a randomised clinical trial.

Journal article Lancet Gastroenterol Hepatol · September 2019 BACKGROUND: Well designed, large comparative effectiveness trials assessing the efficacy of primary interventions for faecal incontinence are few in number. The objectives of this study were to compare different combinations of anorectal manometry-assisted ... Full text Open Access Link to item Cite

Pain and activity after vaginal reconstructive surgery for pelvic organ prolapse and stress urinary incontinence.

Journal article Am J Obstet Gynecol · September 2019 BACKGROUND: Little is known about short- and long-term pain and functional activity after surgery for pelvic organ prolapse. OBJECTIVE: The objectives of the study were to describe postoperative pain and functional activity after transvaginal native tissue ... Full text Link to item Cite

Surgical management of pelvic organ prolapse.

Journal article Climacteric · June 2019 Despite pelvic organ prolapse being a universal problem experienced in nearly 50% of parous women, the surgical management of vaginal prolapse remains an enigma to many, with wide variation in the rates and types of intervention performed. As part of the 6 ... Full text Link to item Cite

The INTUIT Study: Investigating Neuroinflammation Underlying Postoperative Cognitive Dysfunction.

Journal article J Am Geriatr Soc · April 2019 BACKGROUND/OBJECTIVES: Every year, up to 40% of the more than 16 million older Americans who undergo anesthesia/surgery develop postoperative cognitive dysfunction (POCD) or delirium. Each of these distinct syndromes is associated with decreased quality of ... Full text Open Access Link to item Cite

Validation of a Model Predicting De Novo Stress Urinary Incontinence in Women Undergoing Pelvic Organ Prolapse Surgery.

Journal article Obstet Gynecol · April 2019 OBJECTIVE: To validate a previously developed prediction model for de novo stress urinary incontinence (SUI) after undergoing vaginal surgery for pelvic organ prolapse (POP). METHODS: Model performance was determined using a cohort of women who participate ... Full text Open Access Link to item Cite

Responsiveness and minimally important difference of SF-6D and EQ-5D utility scores for the treatment of pelvic organ prolapse.

Journal article Am J Obstet Gynecol · March 2019 BACKGROUND: Utility preference scores are standardized, generic, health-related quality of life (HRQOL) measures that quantify disease severity and burden and summarize morbidity on a scale from 0 (death) to 1 (optimal health). Utility scores are widely us ... Full text Link to item Cite

Concomitant Anterior Repair, Preoperative Prolapse Severity, and Anatomic Prolapse Outcomes After Vaginal Apical Procedures.

Journal article Female Pelvic Med Reconstr Surg · 2019 OBJECTIVE: The aim of the study was to compare anterior and overall prolapse prevalence at 1 year in surgical participants with or without concomitant anterior repair (AR) at the time of sacrospinous ligament fixation (SSLF) or uterosacral ligament suspens ... Full text Link to item Cite

Reasons and risk factors for seeking unscheduled medical advice in the postoperative period among gynecologic patients

Journal article Journal of Gynecologic Surgery · December 1, 2018 Objective: The aims of this research were to characterize unscheduled postoperative contacts made by gynecologic surgical patients and to identify factors that predispose patients to contact their providers postoperatively. Materials and Methods: This was ... Full text Cite

Models for Predicting Recurrence, Complications, and Health Status in Women After Pelvic Organ Prolapse Surgery.

Journal article Obstet Gynecol · August 2018 OBJECTIVE: To develop statistical models predicting recurrent pelvic organ prolapse, surgical complications, and change in health status 12 months after apical prolapse surgery. METHODS: Logistic regression models were developed using a combined cohort fro ... Full text Open Access Link to item Cite

Effect of Uterosacral Ligament Suspension vs Sacrospinous Ligament Fixation With or Without Perioperative Behavioral Therapy for Pelvic Organ Vaginal Prolapse on Surgical Outcomes and Prolapse Symptoms at 5 Years in the OPTIMAL Randomized Clinical Trial.

Journal article JAMA · April 17, 2018 IMPORTANCE: Uterosacral ligament suspension (ULS) and sacrospinous ligament fixation (SSLF) are commonly performed pelvic organ prolapse procedures despite a lack of long-term efficacy data. OBJECTIVE: To compare outcomes in women randomized to (1) ULS or ... Full text Open Access Link to item Cite

Predicting risk of pelvic floor disorders 12 and 20 years after delivery.

Journal article Am J Obstet Gynecol · February 2018 BACKGROUND: Little progress has been made in the prevention of pelvic floor disorders, despite their significant health and economic impact. The identification of women who are at risk remains a key element in targeting prevention and planning health resou ... Full text Open Access Link to item Cite

Refractory urgency urinary incontinence treatment in women: impact of age on outcomes and complications.

Journal article Am J Obstet Gynecol · January 2018 BACKGROUND: Women with refractory urgency urinary incontinence (ie, unresponsive to behavioral and pharmacological interventions) are treated with onabotulinumtoxinA or sacral neuromodulation. OBJECTIVE: The objective of the study was to compare treatment ... Full text Link to item Cite

American Urogynecologic Society Prolapse Consensus Conference Summary Report.

Journal article Female Pelvic Med Reconstr Surg · 2018 OBJECTIVES: The 2016 American Urogynecologic Society Prolapse Consensus Conference brought together thought leaders in the field of pelvic organ prolapse (POP). The goal was to identify critical areas of need for future research. This article summarizes th ... Full text Link to item Cite

A Gartner Duct Cyst Masquerading as Anterior Vaginal Prolapse.

Journal article Obstet Gynecol · November 2017 BACKGROUND: Gartner duct cysts are embryologic remnants of the mesonephric ducts that may present as a vaginal mass or cyst. CASE: A patient was referred for surgical management of prolapse whose bulging anterior vagina was actually a Gartner duct cyst tha ... Full text Link to item Cite

Perioperative Behavioral Therapy and Pelvic Muscle Strengthening Do Not Enhance Quality of Life After Pelvic Surgery: Secondary Report of a Randomized Controlled Trial.

Journal article Phys Ther · November 1, 2017 BACKGROUND: There is significant need for trials evaluating the long-term effectiveness of a rigorous program of perioperative behavioral therapy with pelvic floor muscle training (BPMT) in women undergoing transvaginal reconstructive surgery for prolapse. ... Full text Link to item Cite

Surgical Pain After Transobturator and Retropubic Midurethral Sling Placement

Journal article Obstetrical and Gynecological Survey · October 1, 2017 Full text Cite

Development and Validation of a Quantitative Measure of Adaptive Behaviors in Women With Pelvic Floor Disorders.

Journal article Female Pelvic Med Reconstr Surg · July 20, 2017 PURPOSE: To establish validity for the Pelvic Floor Disorders Network (PFDN) self-administered Adaptive Behavior Index (ABI) and to assess whether ABI assesses known discordance between severity of pelvic floor symptoms and self-reported bother. METHODS: I ... Full text Link to item Cite

Vaginal and Laparoscopic Mesh Hysteropexy for Uterovaginal Prolapse: A Parallel Cohort Study

Journal article Obstetrical and Gynecological Survey · April 1, 2017 Full text Cite

Peer Reviewers Are Our Strength.

Journal article Female Pelvic Med Reconstr Surg · 2017 Full text Link to item Cite

Long-Term Effectiveness of Uterosacral Colpopexy and Minimally Invasive Sacral Colpopexy for Treatment of Pelvic Organ Prolapse.

Journal article Female Pelvic Med Reconstr Surg · 2017 OBJECTIVES: The objective of this study was to estimate rates of recurrent pelvic organ prolapse (POP) 6 years after patients underwent transvaginal uterosacral colpopexy, or laparoscopic or robotic sacral colpopexy at a large tertiary care center. We hypo ... Full text Open Access Link to item Cite

Pelvic Floor Disorders Registry: Study Design and Outcome Measures (vol 22, pg 70, 2016)

Journal article FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY · November 1, 2016 Link to item Cite

Pelvic Floor Disorders Registry: Purpose and Development (vol 22, pg 77, 2016)

Journal article FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY · November 1, 2016 Link to item Cite

Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial.

Journal article Int Urogynecol J · October 2016 INTRODUCTION AND HYPOTHESIS: Mixed urinary incontinence (MUI) can be a challenging condition to manage. We describe the protocol design and rationale for the Effects of Surgical Treatment Enhanced with Exercise for Mixed Urinary Incontinence (ESTEEM) trial ... Full text Open Access Link to item Cite

The effect of surgical start time in patients undergoing minimally invasive sacrocolpopexy.

Journal article Int Urogynecol J · October 2016 INTRODUCTION AND HYPOTHESIS: The objective was to determine if the surgical start time affects operating room time and the incidence of perioperative adverse events in patients undergoing minimally invasive sacrocolpopexy. METHODS: This is a retrospective ... Full text Link to item Cite

Pelvic organ prolapse.

Journal article BMJ · July 20, 2016 Full text Link to item Cite

Assessing ureteral patency using 10% dextrose cystoscopy fluid: evaluation of urinary tract infection rates.

Journal article Am J Obstet Gynecol · July 2016 BACKGROUND: Intravenous indigo carmine has routinely been used to confirm ureteral patency after urogynecologic surgery. Recent discontinuation of the dye has altered clinical practice. In the absence of indigo carmine, we have used 10% dextrose in sterile ... Full text Open Access Link to item Cite

Quality of Life and Sexual Function 2 Years After Vaginal Surgery for Prolapse.

Journal article Obstet Gynecol · June 2016 OBJECTIVE: To longitudinally assess the effect of native tissue vaginal apical prolapse repair with anti-incontinence surgery on quality of life, sexual function, and body image between uterosacral and sacrospinous suspensions. METHODS: A planned secondary ... Full text Link to item Cite

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).

Journal article Int Urogynecol J · April 2016 INTRODUCTION: The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report. METHODS: This Report combines the input of members of two International Organizations, the International Urogynecol ... Full text Link to item Cite

Native Tissue Prolapse Repairs: Comparative Effectiveness Trials.

Journal article Obstet Gynecol Clin North Am · March 2016 This report reviews the success rates and complications of native tissue (nonmesh) vaginal reconstruction of pelvic organ prolapse by compartment. For apical prolapse, both uterosacral ligament suspensions and sacrospinous ligament fixations are effective ... Full text Link to item Cite

Predicting Risk of Urinary Incontinence and Adverse Events After Midurethral Sling Surgery in Women.

Journal article Obstet Gynecol · February 2016 OBJECTIVE: To construct and validate models that predict a patient's risk of developing stress and urgency urinary incontinence and adverse events 12 months after sling surgery. METHODS: This was a secondary analysis of four randomized trials. Twenty-five ... Full text Open Access Link to item Cite

An International Urogynecological Association (IUGA) / International Continence Society (ICS) Joint Report on the Terminology for Female Pelvic Organ Prolapse (POP).

Journal article Neurourol Urodyn · February 2016 INTRODUCTION: The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report. METHODS: This Report combines the input of members of two International Organizations, the International Urogynecol ... Full text Link to item Cite

An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP).

Journal article Int Urogynecol J · February 2016 INTRODUCTION: The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report. METHODS: This Report combines the input of members of two International Organizations, the International Urogynecol ... Full text Link to item Cite

The Pelvic Floor Disorders Registry: Purpose and Development.

Journal article Female Pelvic Med Reconstr Surg · 2016 Pelvic organ prolapse (POP) is a common problem that negatively impacts women's quality of life. A variety of surgeries exist for POP treatment, including procedures performed with and without mesh augmentation. The growing use of mesh in prolapse surgerie ... Full text Link to item Cite

Pelvic Floor Disorders Registry: Study Design and Outcome Measures.

Journal article Female Pelvic Med Reconstr Surg · 2016 Pelvic floor disorders affect up to 24% of adult women in the United States, and many patients with pelvic organ prolapse (POP) choose to undergo surgical repair to improve their quality of life. While a variety of surgical repair approaches and techniques ... Full text Link to item Cite

The Design of a Randomized Trial of Vaginal Surgery for Uterovaginal Prolapse: Vaginal Hysterectomy With Native Tissue Vault Suspension Versus Mesh Hysteropexy Suspension (The Study of Uterine Prolapse Procedures Randomized Trial).

Journal article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVES: We present the rationale for and design of a randomized controlled superiority trial comparing 2 vaginal surgical approaches for the treatment of uterovaginal prolapse. The Study of Uterine Prolapse Procedures Randomized Trial (SUPeR) trial com ... Full text Link to item Cite

The Incidence of Perioperative Adverse Events in the Very Elderly Undergoing Urogynecologic Surgery.

Journal article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVES: To determine the incidence of perioperative adverse events in very elderly women (age ≥ 80 years) undergoing urogynecologic procedures and to examine the effect of preoperative functional status/capacity on these outcomes. METHODS: This is a re ... Full text Link to item Cite

Breakdown of Perineal Laceration Repair After Vaginal Delivery: A Case-Control Study.

Journal article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVE: The aim of the study was to estimate risk factors associated with breakdown of perineal laceration repair after vaginal delivery. METHODS: This is a case-control study of women who sustained a breakdown of perineal laceration repair after vagina ... Full text Link to item Cite

Building a National Registry for Pelvic Organ Prolapse.

Journal article Female Pelvic Med Reconstr Surg · 2016 Full text Link to item Cite

Ultrasound Evaluation of the Urethra and Bladder Neck Before and After Transurethral Bulking.

Journal article Female Pelvic Med Reconstr Surg · 2016 OBJECTIVES: The aims of the study were to describe ultrasound findings in women with stress urinary incontinence (SUI) after transurethral injection of Coaptite, to describe symptoms 3 months after injection, and to determine whether there was an associati ... Full text Link to item Cite

Comprehensive evaluation of the effect of bariatric surgery on pelvic floor disorders.

Journal article Surg Obes Relat Dis · January 2016 BACKGROUND: The association of pelvic floor disorders (PFD) with obesity is well documented. The spectrum of PFD includes stress urinary incontinence (SUI), urge urinary incontinence (UUI), pelvic organ prolapse (POP), and fecal incontinence (FI). Resoluti ... Full text Link to item Cite

Vaginal Mesh in Pelvic Reconstructive Surgery: Controversies, Current Use, and Complications.

Journal article Clin Obstet Gynecol · December 2015 In 2001, the Food and Drug Administration approved the first surgical mesh product specifically designed for the surgical repair of pelvic organ prolapse and between 2004 and 2008, the use of vaginal mesh in gynecologic surgery was at its peak. Unfortunate ... Full text Link to item Cite

Apical prolapse repair: weighing the risks and benefits.

Journal article Curr Opin Obstet Gynecol · October 2015 PURPOSE OF REVIEW: This article reviews the current literature regarding surgical repair of vaginal apical prolapse and discusses the risks and benefits of various surgical approaches. RECENT FINDINGS: Vaginal uterosacral ligament suspension has similar an ... Full text Link to item Cite

The female urinary microbiome in urgency urinary incontinence.

Journal article Am J Obstet Gynecol · September 2015 OBJECTIVE: The purpose of this study was to characterize the urinary microbiota in women who are planning treatment for urgency urinary incontinence and to describe clinical associations with urinary symptoms, urinary tract infection, and treatment outcome ... Full text Link to item Cite

Controlling anal incontinence in women by performing anal exercises with biofeedback or loperamide (CAPABLe) trial: Design and methods.

Journal article Contemp Clin Trials · September 2015 The goals of this trial are to determine the efficacy and safety of two treatments for women experiencing fecal incontinence. First, we aim to compare the use of loperamide to placebo and second, to compare the use of anal sphincter exercises with biofeedb ... Full text Open Access Link to item Cite

Symptomatology of irritable bowel syndrome and inflammatory bowel disease during the menstrual cycle

Journal article Gastroenterology Report · August 1, 2015 Gender-related physiological variations in gastrointestinal (GI) symptomatology have been observed in women of reproductive age. Many women experience cyclical changes in GI symptomatology during their menstrual cycle, particularly alteration in their bowe ... Full text Cite

LONG-TERM QUALITY OF LIFE AND SEXUAL FUNCTION AFTER VAGINAL SURGERY FOR APICAL PROLAPSE

Journal article INTERNATIONAL UROGYNECOLOGY JOURNAL · June 1, 2015 Link to item Cite

Incidence of adverse events after uterosacral colpopexy for uterovaginal and posthysterectomy vault prolapse.

Journal article Am J Obstet Gynecol · May 2015 OBJECTIVE: We sought to describe perioperative and postoperative adverse events associated with uterosacral colpopexy, to describe the rate of recurrent pelvic organ prolapse (POP) associated with uterosacral colpopexy, and to determine whether surgeon tec ... Full text Open Access Link to item Cite

Histopathology of excised midurethral sling mesh.

Journal article Int Urogynecol J · April 2015 INTRODUCTION AND HYPOTHESIS: The objective of this study was to compare the histological characteristics of pathological specimens of excised midurethral sling mesh and surrounding vaginal tissue in patients who presented preoperatively with pain and/or ex ... Full text Link to item Cite

Studying surgical innovations: challenges of the randomized controlled trial.

Journal article J Minim Invasive Gynecol · 2015 The randomized controlled trial (RCT) is designed to measure the efficacy of an intervention and is considered to be the most rigorous form of research, allowing for causal inferences to be made between treatments and outcomes. When designing an RCT, one m ... Full text Link to item Cite

Discrepancies in the female pelvic medicine and reconstructive surgeon workforce.

Journal article Female Pelvic Med Reconstr Surg · 2015 INTRODUCTION: It is unclear whether the current distribution of surgeons practicing female pelvic medicine and reconstructive surgery in the United States is adequate to meet the needs of a growing and aging population. We assessed the geographic distribut ... Full text Link to item Cite

Women's health issues after ileal pouch surgery.

Journal article Inflamm Bowel Dis · December 2014 : Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the surgical treatment of choice for patients with ulcerative colitis and familial polyposis who require colectomy. This surgical intervention allows for resection of colon, while of ... Full text Link to item Cite

Urinary bacteria in adult women with urgency urinary incontinence.

Journal article Int Urogynecol J · September 2014 INTRODUCTION AND HYPOTHESIS: This study's aims were to detect and quantify bacterial DNA in the urine of randomized trial participants about to undergo treatment for urinary urgency incontinence (UUI) without clinical evidence of urinary tract infection (U ... Full text Link to item Cite

Association between gastro-intestinal symptoms and menstruation in patients with ileal pouches

Journal article Gastroenterology Report · August 1, 2014 Background and aims: Gastro-intestinal (GI) symptoms are often experienced by healthy women during menstruation. An increased frequency of GI symptoms during menses has also been reported in women with irritable bowel syndrome or inflammatory bowel disease ... Full text Cite

Outcomes following treatment for pelvic floor mesh complications.

Journal article Int Urogynecol J · June 2014 INTRODUCTION AND HYPOTHESIS: Our aim was to determine symptoms and degree of improvement in a cohort of women who presented following treatment for vaginal mesh complications. METHODS: This study was a follow-up to a multicenter, retrospective study of wom ... Full text Link to item Cite

Symptom outcomes important to women with anal incontinence: a conceptual framework.

Journal article Obstet Gynecol · May 2014 OBJECTIVE: To develop a framework that describes the most important symptom outcomes for anal incontinence treatment from the patient perspective. METHODS: A conceptual framework was developed by the Pelvic Floor Disorders Network based on four semistructu ... Full text Link to item Cite

Ureterovaginal fistula: a case series.

Journal article Int Urogynecol J · May 2014 INTRODUCTION AND HYPOTHESIS: We describe the presentation, diagnosis, and management of ureterovaginal fistula over a 7-year period at a tertiary care center. METHODS: A retrospective review of ureterovaginal fistula cases between 2003 and 2011 was perform ... Full text Link to item Cite

Findings of universal cystoscopy at incontinence surgery and their sequelae.

Journal article Am J Obstet Gynecol · May 2014 OBJECTIVE: The purpose of this study was to report the frequency of abnormal cystoscopy at incontinence surgery and to identify risk factors and sequelae of injury. STUDY DESIGN: Findings of cystoscopy were collected prospectively in 3 multicenter surgical ... Full text Link to item Cite

Conceptual framework for patient-important treatment outcomes for pelvic organ prolapse.

Journal article Neurourol Urodyn · April 2014 AIMS: To develop a comprehensive conceptual framework representing the most important outcomes for women seeking treatment for pelvic organ prolapse (POP). METHODS: Twenty-five women with POP were recruited and participated in four semi-structured focus gr ... Full text Link to item Cite

Comparison of 2 transvaginal surgical approaches and perioperative behavioral therapy for apical vaginal prolapse: the OPTIMAL randomized trial.

Journal article JAMA · March 12, 2014 IMPORTANCE: More than 300,000 surgeries are performed annually in the United States for pelvic organ prolapse. Sacrospinous ligament fixation (SSLF) and uterosacral ligament suspension (ULS) are commonly performed transvaginal surgeries to correct apical p ... Full text Link to item Cite

A model for predicting the risk of de novo stress urinary incontinence in women undergoing pelvic organ prolapse surgery.

Journal article Obstet Gynecol · February 2014 OBJECTIVE: To construct and validate a prediction model for estimating the risk of de novo stress urinary incontinence (SUI) after vaginal pelvic organ prolapse (POP) surgery and compare it with predictions using preoperative urinary stress testing and exp ... Full text Open Access Link to item Cite

Evaluation and management of complications from synthetic mesh after pelvic reconstructive surgery: a multicenter study.

Journal article Am J Obstet Gynecol · February 2014 OBJECTIVE: The purpose of this study was to describe the evaluation and management of synthetic mesh-related complications after surgery for stress urinary incontinence (SUI) and/or pelvic organ prolapse (POP). STUDY DESIGN: We conducted a multicenter, ret ... Full text Link to item Cite

Urinary bacteria in adult women with urgency urinary incontinence

Journal article Obstetrical and Gynecological Survey · January 1, 2014 Full text Cite

Minimum important differences for scales assessing symptom severity and quality of life in patients with fecal incontinence.

Journal article Female Pelvic Med Reconstr Surg · 2014 OBJECTIVES: The objective of this study was to estimate the minimum important difference (MID) for the Fecal Incontinence Severity Index (FISI), the Colorectal-Anal Distress Inventory (CRADI) scale of the Pelvic Floor Distress Inventory, the Colorectal-Ana ... Full text Open Access Link to item Cite

Development and validation of a laparoscopic sacrocolpopexy simulation model for surgical training.

Journal article J Minim Invasive Gynecol · 2014 STUDY OBJECTIVE: To develop a valid laparoscopic sacrocolpopexy simulation model for use as an assessment and learning tool for performing this procedure. DESIGN: Simulation study (Canadian Task Force classification II-2). SETTING: Two tertiary academic ce ... Full text Link to item Cite

Neuroanatomy, neurophysiology, and dysfunction of the female lower urinary tract: a review.

Journal article Female Pelvic Med Reconstr Surg · 2014 The 2 major functions of the lower urinary tract are the storage and emptying of urine. These processes are controlled by complex neurophysiologic mechanisms and are subject to injury and disease. When there is disruption of the neurologic control centers, ... Full text Link to item Cite

Reply: To PMID 23395927.

Journal article Am J Obstet Gynecol · December 2013 Full text Link to item Cite

Reply.

Journal article American journal of obstetrics and gynecology · December 1, 2013 Cite

Epidemiology and outcome assessment of pelvic organ prolapse.

Journal article Int Urogynecol J · November 2013 INTRODUCTION AND HYPOTHESIS: The aim was to determine the incidence and prevalence of pelvic organ prolapse surgery and describe how outcomes are reported. METHODS: Every 4 years and as part of the Fifth International Collaboration on Incontinence we revie ... Full text Link to item Cite

Apical prolapse.

Journal article Int Urogynecol J · November 2013 INTRODUCTION AND HYPOTHESIS: The aim was to review the safety and efficacy of pelvic organ prolapse surgery for vaginal apical prolapse. METHODS: Every 4 years and as part of the Fifth International Collaboration on Incontinence we reviewed the English-lan ... Full text Link to item Cite

Surgical techniques for removing problematic mesh.

Journal article Clin Obstet Gynecol · June 2013 The use of mesh and graft in pelvic reconstructive surgery has increased over the last decade. As the use of these products increased, the frequency and complexity of mesh-related complications has also increased. Management of complications resulting from ... Full text Link to item Cite

A randomized trial comparing conventional and robotically assisted total laparoscopic hysterectomy.

Journal article Am J Obstet Gynecol · May 2013 OBJECTIVE: The purpose of this study was to compare operative time and intra- and postoperative complications between total laparoscopic hysterectomy and robotic-assisted total laparoscopic hysterectomy. STUDY DESIGN: This study was a blinded, prospective ... Full text Link to item Cite

Measuring outcomes in urogynecological surgery: Perspective is everything

Journal article Obstetrical and Gynecological Survey · May 1, 2013 Full text Cite

Development and validation of a ureteral anastomosis simulation model for surgical training.

Journal article Female Pelvic Med Reconstr Surg · 2013 OBJECTIVE: To develop and validate a new ureteral anastomosis simulation model. METHODS: We designed a training model to simulate the task of ureteral anastomosis required for ureteroneocystostomy that is suitable for robotic and laparoscopic approaches. F ... Full text Link to item Cite

Prediction models for postpartum urinary and fecal incontinence in primiparous women.

Journal article Female Pelvic Med Reconstr Surg · 2013 OBJECTIVES: This study aimed to develop and internally validate a nomogram that facilitates decision making between patient and physician by predicting a woman's individual probability of developing urinary (UI) or fecal incontinence (FI) after her first d ... Full text Open Access Link to item Cite

Attitudes toward hysterectomy in women undergoing evaluation for uterovaginal prolapse.

Journal article Female Pelvic Med Reconstr Surg · 2013 OBJECTIVES: To investigate attitudes toward hysterectomy in women seeking care for pelvic organ prolapse. METHODS: Two hundred twenty women referred for evaluation of prolapse without evidence of previous hysterectomy were surveyed with the Pelvic Organ Pr ... Full text Link to item Cite

Measuring outcomes in urogynecological surgery: "perspective is everything".

Journal article Int Urogynecol J · January 2013 Over 10 years have passed since the first US National Institutes of Health consensus panel considered the standardization of definitions of pelvic floor conditions and the criteria utilized for reporting pelvic floor research study outcomes. The literature ... Full text Link to item Cite

Reply: To PMID 22527748.

Journal article Am J Obstet Gynecol · January 2013 Full text Link to item Cite

Common postoperative pulmonary complications after hysterectomy for benign indications.

Journal article Am J Obstet Gynecol · January 2013 OBJECTIVE: The purpose of this study was to estimate the incidence of postoperative pulmonary complications after hysterectomy for benign indications. STUDY DESIGN: This was a retrospective cohort study of all women who underwent hysterectomy for benign in ... Full text Link to item Cite

The pelvic floor complication scale: a new instrument for reconstructive pelvic surgery.

Journal article Am J Obstet Gynecol · January 2013 OBJECTIVE: The purpose of this study was to develop and test a unique, new pelvic floor surgery complication scale and compare it with an existing validated measure. STUDY DESIGN: Surgeons from 2 clinical trials networks rated complications based on percei ... Full text Link to item Cite

Pelvic floor disorders clinical trials: participant recruitment and retention.

Journal article Int Urogynecol J · January 2013 INTRODUCTION AND HYPOTHESIS: We used a focus-group methodology to gather information about women's knowledge and attitudes regarding research participation. METHODS: Two in-person focus groups at seven clinical sites were conducted in women with pelvic flo ... Full text Link to item Cite

A randomized trial of urodynamic testing before stress-incontinence surgery

Journal article Obstetrical and Gynecological Survey · October 1, 2012 Full text Cite

Midurethral slings for stress urinary incontinence: a urogynecology perspective.

Journal article Urol Clin North Am · August 2012 Stress urinary incontinence (SUI), the involuntary leakage of urine associated with an increase in intraabdominal pressure (coughing, laughing, and sneezing), affects 12.8% to 46.0% of women. SUI is the most common type of urinary incontinence in women you ... Full text Link to item Cite

A midurethral sling to reduce incontinence after vaginal prolapse repair.

Journal article N Engl J Med · June 21, 2012 BACKGROUND: Women without stress urinary incontinence undergoing vaginal surgery for pelvic-organ prolapse are at risk for postoperative urinary incontinence. A midurethral sling may be placed at the time of prolapse repair to reduce this risk. METHODS: We ... Full text Link to item Cite

Accuracy of the digital anal examination in women with fecal incontinence.

Journal article Int Urogynecol J · June 2012 INTRODUCTION AND HYPOTHESIS: This study aims to determine the accuracy of digital rectal examination (DRE) to detect anal sphincter defects when compared to endoanal ultrasound (US) in women with fecal incontinence (FI). METHODS: Seventy-four patients iden ... Full text Link to item Cite

A randomized trial of urodynamic testing before stress-incontinence surgery.

Journal article N Engl J Med · May 24, 2012 BACKGROUND: Urodynamic studies are commonly performed in women before surgery for stress urinary incontinence, but there is no good evidence that they improve outcomes. METHODS: We performed a multicenter, randomized, noninferiority trial involving women w ... Full text Link to item Cite

Interrater reliability of the International Continence Society and International Urogynecological Association (ICS/IUGA) classification system for mesh-related complications.

Journal article Am J Obstet Gynecol · May 2012 OBJECTIVE: We sought to assess interrater reliability of the International Continence Society (ICS)/International Urogynecological Association (IUGA) classification system of vaginal mesh-related complications and compare this with several other available ... Full text Link to item Cite

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse.

Journal article Neurourol Urodyn · April 2012 INTRODUCTION AND HYPOTHESIS: Standardized terminology has yet to be developed for reporting the outcomes for surgery for pelvic organ prolapse (POP). METHODS: This report combines the input of the Terminology and Standardization Committees of the Internati ... Full text Link to item Cite

Interventional radiologic treatment of pelvic hemorrhage after placement of mesh for reconstructive pelvic surgery.

Journal article Obstet Gynecol · February 2012 BACKGROUND: We report two cases of vascular complications after reconstructive pelvic surgery successfully treated with pelvic artery embolization. CASES: Two patients who underwent mesh placement complicated by postoperative pelvic hemorrhage were treated ... Full text Link to item Cite

Single-incision mini-sling compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial.

Journal article Obstet Gynecol · February 2012 OBJECTIVE: To compare the efficacy of a single-incision mini-sling, placed in the "U" position, with tension-free vaginal tape (TVT) in the treatment of stress urinary incontinence. METHODS: Women with urodynamic stress incontinence with or without genital ... Full text Link to item Cite

Bladder pain syndrome/interstitial cystitis in twin sisters.

Journal article J Urol · January 2012 PURPOSE: We determined the genetic contribution of and associated factors for bladder pain syndrome using an identical twin model. MATERIALS AND METHODS: Multiple questionnaires were administered to adult identical twin sister pairs. The O'Leary-Sant Inter ... Full text Link to item Cite

Nomogram to predict successful placement in surgical subspecialty fellowships using applicant characteristics.

Journal article J Surg Educ · 2012 PURPOSE: The purpose of the study was to develop a model that predicts an individual applicant's probability of successful placement into a surgical subspecialty fellowship program. METHODS: Candidates who applied to surgical fellowships during a 3-year pe ... Full text Link to item Cite

Validation of the surgical pain scales in women undergoing pelvic reconstructive surgery.

Journal article Female Pelvic Med Reconstr Surg · 2012 OBJECTIVE: Surgical pain scales (SPS) consist of 4 items that measure pain at rest, during normal activities, and during work/exercise and quantify unpleasantness of worst pain, which are valid and responsive in men undergoing hernia repair. Our objective ... Full text Link to item Cite

Validation of the activities assessment scale in women undergoing pelvic reconstructive surgery.

Journal article Female Pelvic Med Reconstr Surg · 2012 OBJECTIVE: The Activities Assessment Scale (AAS) is a 13-item postoperative functional activity scale validated in men who underwent hernia surgery. We evaluated the psychometric characteristics of the AAS in women who underwent vaginal surgery for pelvic ... Full text Link to item Cite

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse

Journal article International Urogynecology Journal · January 1, 2012 Introduction and hypothesis: Standardized terminology has yet to be developed for reporting the outcomes for surgery for pelvic organ prolapse (POP). Methods: This report combines the input of the Terminology and Standardization Committees of the Internati ... Full text Cite

Assessment of four tissue models on knot tensile strength.

Journal article J Surg Educ · 2012 OBJECTIVE: To determine whether the tissue model onto which a knot is tied influences the knot's tensile strength. STUDY DESIGN: Zero-gauge, nonexpired, silk, polyglactin 910, polydioxanone, and polypropylene sutures were tied on 4 different mock tissue mo ... Full text Link to item Cite

Factors used by program directors to select obstetrics and gynecology fellows.

Journal article Obstet Gynecol · January 2012 OBJECTIVE: To describe the factors and attributes that obstetrics and gynecology fellowship directors use in selecting applicants for interview and ranking. METHODS: Anonymous questionnaires were completed by obstetrics and gynecology fellowship directors ... Full text Link to item Cite

Pelvic floor symptoms improve similarly after pessary and behavioral treatment for stress incontinence.

Journal article Female Pelvic Med Reconstr Surg · 2012 OBJECTIVE: The objective of this study was to determine if differences exist in pelvic symptom distress and impact on women randomized to pessary versus behavioral therapy for treatment of stress urinary incontinence (SUI). METHODS: Change in symptom and c ... Full text Link to item Cite

Laparoscopic compared with robotic sacrocolpopexy for vaginal prolapse: a randomized controlled trial.

Journal article Obstet Gynecol · November 2011 OBJECTIVE: To compare conventional laparoscopic and robotic-assisted laparoscopic sacrocolpopexy for vaginal apex prolapse. METHODS: This single-center, blinded randomized trial included participants with stage 2-4 posthysterectomy vaginal prolapse. Partic ... Full text Open Access Link to item Cite

Perioperative gastrointestinal complications after abdominal and intraperitoneal vaginal surgery for pelvic organ prolapse

Journal article Journal of Gynecologic Surgery · September 1, 2011 Objective: The purpose of this study was to compare the incidence of perioperative gastrointestinal complications following sacral colpopexy and vaginal vault suspension for pelvic organ prolapse. Design: This is a retrospective study of patients who exper ... Full text Cite

Reanalysis of a randomized trial of 3 techniques of anterior colporrhaphy using clinically relevant definitions of success.

Journal article Am J Obstet Gynecol · July 2011 OBJECTIVE: The purpose of this study was to reanalyze the results of a previously published trial that compared 3 methods of anterior colporrhaphy according to the clinically relevant definitions of success. STUDY DESIGN: A secondary analysis of a trial of ... Full text Link to item Cite

Further validation of the short form versions of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ).

Journal article Neurourol Urodyn · April 2011 AIMS: To evaluate validity and responsiveness of PFDI and PFIQ short forms across four multi-center studies and develop conversion formulas between short and long versions. METHODS: 1,006 participants in four prospective studies of pelvic floor disorders c ... Full text Link to item Cite

Systematic review highlights difficulty interpreting diverse clinical outcomes in abnormal uterine bleeding trials.

Journal article J Clin Epidemiol · March 2011 OBJECTIVES: (1) To systematically collect and organize into clinical categories all outcomes reported in trials for abnormal uterine bleeding (AUB); (2) to rank the importance of outcomes for patient decision making; and (3) to improve future comparisons o ... Full text Link to item Cite

Minimum number of throws needed for knot security.

Journal article J Surg Educ · 2011 OBJECTIVE: The purpose of the study was to determine the optimal number of throws to ensure knot security. STUDY DESIGN: Knots were tied with 3, 4, 5, or 6 square throws with 0-gauge coated polyester, polydioxanone, polypropylene, and polyglactin 910. The ... Full text Link to item Cite

The relationship between anthropometric measurements and the bony pelvis in African American and European American women

Journal article International Urogynecology Journal · January 1, 2011 Introduction and hypothesis The bony pelvis anatomy is highly variable. This study aims to examine the relationship between anthropometric measurements and the size of the adult female bony pelvis. Methods Three-dimensional points of all pertinent landmark ... Full text Cite

In response to Dr Pizarro's letter

Journal article Female Pelvic Medicine and Reconstructive Surgery · January 1, 2011 Full text Cite

Comparison of responsiveness of validated outcome measures after surgery for stress urinary incontinence.

Journal article J Urol · November 2010 PURPOSE: We compared the responsiveness of several validated incontinence, pelvic floor and quality of life outcome measures in women undergoing surgery for stress urinary incontinence to assist investigators in selecting appropriate outcomes in future tri ... Full text Link to item Cite

Quantification of vaginal support: are continuous summary scores better than POPQ stage?

Journal article Am J Obstet Gynecol · November 2010 OBJECTIVE: This analysis compared 3 continuous variables as summary support loss (SL) scores with pelvic organ prolapse (POP) quantification (POPQ) ordinal stages. STUDY DESIGN: We used pooled baseline data from 1141 subjects in 3 randomized trials (CARE, ... Full text Link to item Cite

Single-port risk-reducing salpingo-oophorectomy with and without hysterectomy: surgical outcomes and learning curve analysis.

Journal article Gynecol Oncol · October 2010 OBJECTIVE: Based on considerable prospective data, risk-reducing salpingo-oophorectomy (RRSO) is one of the most beneficial interventions available to reduce ovarian/breast cancer risk in BRCA carriers and high-risk women. The purpose of this study was to ... Full text Link to item Cite

Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence.

Journal article Eur Urol · August 2010 CONTEXT: Burch colposuspension, pubovaginal sling, and midurethral retropubic tape (RT) and transobturator tape (TOT) have been the most popular surgical treatments for female stress urinary incontinence (SUI). Several randomized controlled trials (RCTs) h ... Full text Link to item Cite

Objective assessment of vaginal surgical skills.

Journal article Am J Obstet Gynecol · July 2010 OBJECTIVE: To develop and validate an instrument to assess surgical skills during vaginal surgery. STUDY DESIGN: Trainees from 2 institutions were directly assessed in the operating room by supervising surgeons while performing a vaginal hysterectomy using ... Full text Open Access Link to item Cite

Establishing cutoff scores on assessments of surgical skills to determine surgical competence.

Journal article Am J Obstet Gynecol · July 2010 OBJECTIVE: The aim of this study was to establish minimum cutoff scores on intraoperative assessments of surgical skills to determine surgical competence for vaginal hysterectomy. STUDY DESIGN: Two surgical rating scales, the Global Rating Scale of Operati ... Full text Open Access Link to item Cite

Functional bowel disorders and pelvic organ prolapse: a case-control study.

Journal article Female pelvic medicine & reconstructive surgery · July 2010 Objectives: To compare the relative frequencies of constipation and other functional bowel disorders between patients with and without pelvic organ prolapse (POP).Methods: This was a case-control study design. Cases were patients with sta ... Full text Open Access Cite

The questionnaire for urinary incontinence diagnosis (QUID): validity and responsiveness to change in women undergoing non-surgical therapies for treatment of stress predominant urinary incontinence.

Journal article Neurourology and urodynamics · June 1, 2010 The Questionnaire for Urinary Incontinence Diagnosis (QUID), a 6-item urinary incontinence (UI) symptom questionnaire, was developed and validated to distinguish stress and urge UI. This study's objective was to evaluate QUID validity and responsiveness wh ... Cite

The questionnaire for urinary incontinence diagnosis (QUID): validity and responsiveness to change in women undergoing non-surgical therapies for treatment of stress predominant urinary incontinence.

Journal article Neurourol Urodyn · June 2010 AIMS: The Questionnaire for Urinary Incontinence Diagnosis (QUID), a 6-item urinary incontinence (UI) symptom questionnaire, was developed and validated to distinguish stress and urge UI. This study's objective was to evaluate QUID validity and responsiven ... Full text Link to item Cite

Risk of unanticipated abnormal gynecologic pathology at the time of hysterectomy for uterovaginal prolapse.

Journal article Am J Obstet Gynecol · May 2010 OBJECTIVE: The aim of this study was to assess the risk of unanticipated abnormal gynecologic pathology at the time of reconstructive pelvic surgery to better understand risks of uterine conservation in the surgical treatment of uterovaginal prolapse. STUD ... Full text Link to item Cite

Insertion and removal of vaginal mesh for pelvic organ prolapse.

Journal article Clin Obstet Gynecol · March 2010 A variety of surgical meshes are available to correct pelvic organ prolapse. This article discusses benefits and risks of vaginal mesh use. Emphasis is placed on the appropriate surgical technique to improve outcomes and minimize mesh complications. Placem ... Full text Link to item Cite

Continence pessary compared with behavioral therapy or combined therapy for stress incontinence: a randomized controlled trial.

Journal article Obstet Gynecol · March 2010 OBJECTIVE: To compare the effectiveness of a continence pessary to evidence-based behavioral therapy for stress incontinence and to assess whether combined pessary and behavioral therapy is superior to single-modality therapy. METHODS: This was a multisite ... Full text Link to item Cite

Pelvic nerve injury following gynecologic surgery: A prospective cohort study

Journal article Obstetrical and Gynecological Survey · February 1, 2010 Full text Cite

A historical perspective on our understanding of the uterovaginal connective tissue supports

Journal article Female Pelvic Medicine and Reconstructive Surgery · January 1, 2010 Objectives: The purpose of this research is to provide a historical perspective on the understanding of uterovaginal connective tissue supports. Methods: Articles were identified by a thorough review of the literature using electronic databases, and by rev ... Full text Cite

The impact of cesarean delivery on pelvic floor dysfunction in lysyl oxidase like-1 knockout mice

Journal article Female Pelvic Medicine and Reconstructive Surgery · January 1, 2010 Objective: Lysyl oxidase like-1 (LOXL1) knockout mice have abnormal elastic fiber homeostasis and frequently develop pelvic floor dysfunction after pregnancy and delivery. The objective of this study was to test the hypothesis that tissue changes associate ... Full text Cite

Pelvic organ prolapse: Defining the disease

Journal article Female Pelvic Medicine and Reconstructive Surgery · January 1, 2010 Full text Cite

Pelvic nerve injury following gynecologic surgery: a prospective cohort study.

Journal article Am J Obstet Gynecol · November 2009 OBJECTIVE: The purpose of this study was to determine the incidence and time course of postoperative neuropathy resulting from gynecologic surgery. STUDY DESIGN: A single cohort of 616 female patients undergoing elective gynecologic surgery for benign or m ... Full text Link to item Cite

Defining success after surgery for pelvic organ prolapse.

Journal article Obstet Gynecol · September 2009 OBJECTIVES: To describe pelvic organ prolapse surgical success rates using a variety of definitions with differing requirements for anatomic, symptomatic, or re-treatment outcomes. METHODS: Eighteen different surgical success definitions were evaluated in ... Full text Link to item Cite

Vulvar mammary-type myofibroblastoma: a case report.

Journal article J Reprod Med · June 2009 BACKGROUND: Mammary-type myofibroblastomas have been reported at extramammary sites, especially along the mammary midline, but not previously in the vulva. CASE: A 56-year-old woman presented with complaints of a left vulvar mass, pelvic organ prolapse and ... Link to item Cite

The minimum important differences for the urinary scales of the Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire.

Journal article Am J Obstet Gynecol · May 2009 OBJECTIVE: We sought to estimate the minimum important difference (MID) for the Urinary Distress Inventory (UDI), UDI-stress subscale of the Pelvic Floor Distress Inventory, and Urinary Impact Questionnaire (UIQ) of the Pelvic Floor Impact Questionnaire. S ... Full text Link to item Cite

Patient-centered treatment goals for pelvic floor disorders: association with quality-of-life and patient satisfaction.

Journal article Am J Obstet Gynecol · May 2009 OBJECTIVE: We sought to determine the relationship of patient-centered goal achievement in pelvic floor disorder (PFD) treatment to PFD-specific quality-of-life (QOL), depression, health status, and patient satisfaction. STUDY DESIGN: Ninety women with PFD ... Full text Link to item Cite

Outcomes following vaginal prolapse repair and mid urethral sling (OPUS) trial--design and methods.

Journal article Clin Trials · April 2009 BACKGROUND: The primary aims of this trial are to determine whether the use of a concomitant prophylactic anti-incontinence procedure may prevent stress urinary incontinence symptom development in women undergoing vaginal prolapse surgery and to evaluate t ... Full text Link to item Cite

Operations and pelvic muscle training in the management of apical support loss (OPTIMAL) trial: design and methods.

Journal article Contemp Clin Trials · March 2009 The primary aims of this trial are: 1) to compare surgical outcomes following sacrospinous ligament fixation to uterosacral vaginal vault suspension in women undergoing vaginal surgery for apical or uterine pelvic organ prolapse and stress urinary incontin ... Full text Link to item Cite

Complication and reoperation rates after apical vaginal prolapse surgical repair: a systematic review.

Journal article Obstet Gynecol · February 2009 OBJECTIVE: To compare postoperative complication and reoperation rates for surgical procedures correcting apical vaginal prolapse. DATA SOURCES: Eligible studies were selected through an electronic literature search covering January 1985 to January 2008 us ... Full text Link to item Cite

Obesity is associated with increased prevalence and severity of pelvic floor disorders in women considering bariatric surgery.

Journal article Surg Obes Relat Dis · 2009 BACKGROUND: Although an association between obesity and urinary incontinence (UI) has been reported, the association between obesity and other PFDs is less clear. The aim of this study was to determine the prevalence of pelvic floor disorders (PFDs), inclu ... Full text Link to item Cite

Risk factors associated with failure 1 year after retropubic or transobturator midurethral slings.

Journal article Am J Obstet Gynecol · December 2008 OBJECTIVE: The objective of the study was to identify predictors of recurrent urinary incontinence (UI) 1 year after treatment with tension-free vaginal tape (TVT) and transobturator tape (TOT). STUDY DESIGN: One hundred sixty-two women with urodynamic str ... Full text Link to item Cite

Paper versus web-based administration of the Pelvic Floor Distress Inventory 20 and Pelvic Floor Impact Questionnaire 7.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · October 2008 Web-based questionnaires are increasingly employed for clinical research. To investigate whether web-based and paper versions of the Pelvic Floor Distress Inventory 20 (PFDI-20) and Pelvic Floor Impact Questionnaire 7 (PFIQ-7) yield similar results, we com ... Full text Link to item Cite

Efficacy of a standardized technique of trans-vaginal entry into the peritoneal cavity for post-hysterectomy vaginal vault suspension.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · October 2008 The aim of this paper is to describe the efficacy and safety of a standardized technique of trans-vaginal entry into the peritoneal cavity for post-hysterectomy vault prolapse and determine how well the pre-operative pelvic examination predicted successful ... Full text Link to item Cite

Prevalence of symptomatic pelvic floor disorders in US women.

Journal article JAMA · September 17, 2008 CONTEXT: Pelvic floor disorders (urinary incontinence, fecal incontinence, and pelvic organ prolapse) affect many women. No national prevalence estimates derived from the same population-based sample exists for multiple pelvic floor disorders in women in t ... Full text Link to item Cite

Leak point pressure does not correlate with incontinence severity or bother in women undergoing surgery for urodynamic stress incontinence.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · September 2008 The aim of this study was to correlate the lowest Valsalva or cough leak point pressure (LPP) with clinical measures of incontinence severity and quality of life in women with pure urodynamic stress incontinence (SUI). This is an analysis of the baseline d ... Full text Link to item Cite

Complications of neglected vaginal pessaries: case presentation and literature review.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · August 2008 Vaginal pessaries are often used as first-line management of pelvic organ prolapse in women who are poor surgical candidates or who decline surgical repair. Mostly, pessaries are well tolerated but when neglected may lead to serious complications including ... Full text Link to item Cite

Optimism in women undergoing abdominal sacrocolpopexy for pelvic organ prolapse.

Journal article J Am Coll Surg · August 2008 BACKGROUND: Although studies suggest that optimism can predict health outcomes, the relationship has not been tested in women with pelvic organ prolapse (POP). This study sought to explore the relationship between optimism, prolapse severity, and symptoms ... Full text Link to item Cite

Refractory idiopathic urge urinary incontinence and botulinum A injection.

Journal article J Urol · July 2008 PURPOSE: We compared 200 U intradetrusor botulinum toxin A vs placebo in women with refractory idiopathic urge incontinence. MATERIALS AND METHODS: This institutional review board approved, multicenter registered trial randomized women with refractory urge ... Full text Link to item Cite

UIJ - Refractory idiopathic urge urinary incontinence and botulinum a injection

Journal article Urotoday International Journal · June 1, 2008 Full text Cite

Variation of the obturator foramen and pubic arch of the female bony pelvis.

Journal article Am J Obstet Gynecol · May 2008 OBJECTIVE: The purpose of this study was to determine dimensions of the obturator foramen and pubic arch of the female pelvis and to assess for variability. STUDY DESIGN: Ninety-six female pelvises were selected from the Cleveland Natural History Museum. T ... Full text Link to item Cite

Differences in urinary incontinence between Hispanic and non-Hispanic white women: a population-based study.

Journal article BJU Int · March 2008 OBJECTIVE: To compare the prevalence of urinary incontinence (UI) between Hispanic and non-Hispanic White women in a population-based study. SUBJECTS AND METHODS: The prevalence of moderate to severe UI, defined as Sandvik severity score of >or=3, was asse ... Full text Link to item Cite

Transobturator tape compared with tension-free vaginal tape for the treatment of stress urinary incontinence: a randomized controlled trial.

Journal article Obstet Gynecol · March 2008 OBJECTIVE: To compare the safety and efficacy of the transobturator tape to tension-free vaginal tape (TVT) in the treatment of stress urinary incontinence in patients with and without concurrent pelvic organ prolapse. METHODS: One-hundred seventy women wi ... Full text Link to item Cite

Psychosocial impact of chronic vulvovagina conditions.

Journal article J Reprod Med · February 2008 OBJECTIVE: To describe the degree of psychosocial impairment resulting from chronic vulvovaginal disorders (VVDs). STUDY DESIGN: Seventy-five consecutive women suffering from a chronic VVD were recruited and classified using current International Society f ... Link to item Cite

Randomised trial of laparoscopic Burch colposuspension versus tension-free vaginal tape: long-term follow up.

Journal article BJOG · January 2008 OBJECTIVE: To compare the long-term efficacy of laparoscopic Burch colposuspension with tension-free vaginal tape (TVT) for the treatment of urodynamic stress urinary incontinence (SUI). DESIGN: Long-term follow up from a prospective randomised trial. SETT ... Full text Link to item Cite

Small bowel obstruction after vaginal vault suspension: a series of three cases.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · October 2007 Surgical correction of pelvic organ prolapse is increasingly common. The vaginal approach is often favored secondary to its limited peritoneal cavity access and low complication rates. A thorough review of the literature revealed no previous reports of pri ... Full text Link to item Cite

Bowel symptoms 1 year after surgery for prolapse: further analysis of a randomized trial of rectocele repair.

Journal article Am J Obstet Gynecol · July 2007 OBJECTIVE: The purpose of this study was to analyze change in bowel function and its relationship to vaginal anatomy 1 year after rectocele repair and pelvic reconstruction in a randomized trial of 3 techniques of rectocele repair. STUDY DESIGN: The study ... Full text Link to item Cite

Perioperative complications in obese women vs normal-weight women who undergo vaginal surgery.

Journal article Am J Obstet Gynecol · July 2007 OBJECTIVE: The purpose of this study was to compare the incidence of perioperative complications in obese and normal-weight patients who undergo vaginal urogynecologic surgery. STUDY DESIGN: A retrospective cohort analysis was conducted for obese patients ... Full text Link to item Cite

Posterior repair and sexual function.

Journal article Am J Obstet Gynecol · July 2007 OBJECTIVE: The purpose of this study was to determine the effect of posterior repair (PR) on sexual function in patients who have undergone incontinence and/or pelvic reconstructive surgery. STUDY DESIGN: A cohort study of women who underwent incontinence ... Full text Link to item Cite

Quality of life after surgery for genital prolapse in elderly women: obliterative and reconstructive surgery.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · July 2007 The objective of this study was to determine if obliterative and reconstructive vaginal surgery for advanced pelvic organ prolapse improve quality of life in elderly women. Women age 65 years or older with stage 3 or 4 pelvic organ prolapse who desired sur ... Full text Link to item Cite

A prospective assessment of overactive bladder symptoms in a cohort of elderly women who underwent transvaginal surgery for advanced pelvic organ prolapse.

Journal article Am J Obstet Gynecol · July 2007 OBJECTIVE: The objective of this study was to evaluate the impact of transvaginal prolapse surgery on overactive bladder symptoms in elderly women. STUDY DESIGN: Women (> or = 65 years old) with stage III or IV prolapse who enrolled in a prospective study ... Full text Link to item Cite

Questionnaires for women with pelvic floor disorders.

Journal article Int Urogynecol J Pelvic Floor Dysfunct · April 2007 Full text Link to item Cite

Pelvic organ prolapse.

Journal article Lancet · March 24, 2007 Pelvic organ prolapse is downward descent of female pelvic organs, including the bladder, uterus or post-hysterectomy vaginal cuff, and the small or large bowel, resulting in protrusion of the vagina, uterus, or both. Prolapse development is multifactorial ... Full text Link to item Cite

Rectocele repair: a randomized trial of three surgical techniques including graft augmentation.

Journal article Am J Obstet Gynecol · December 2006 OBJECTIVE: This study was undertaken to compare outcomes of 3 different rectocele repair techniques. STUDY DESIGN: One hundred six women with stage II or greater posterior vaginal wall prolapse were randomly assigned to either posterior colporrhaphy (n = 3 ... Full text Link to item Cite

Perioperative complications and adverse events of the MONARC transobturator tape, compared with the tension-free vaginal tape.

Journal article Am J Obstet Gynecol · December 2006 OBJECTIVE: The objective of the study was to compare the incidence of perioperative complications of the MONARC transobturator tape with the tension-free vaginal tape in women undergoing surgical treatment for stress urinary incontinence. STUDY DESIGN: A r ... Full text Link to item Cite

Does sexual function change after surgery for stress urinary incontinence and/or pelvic organ prolapse? A multicenter prospective study.

Journal article Am J Obstet Gynecol · November 2006 OBJECTIVE: The purpose of this study was to assess sexual function in women after surgery for stress urinary incontinence and/or pelvic organ prolapse (UI/POP) at 3 and 6 months with the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ ... Full text Link to item Cite

Can we screen for pelvic organ prolapse without a physical examination in epidemiologic studies?

Journal article Am J Obstet Gynecol · October 2006 OBJECTIVE: Large population-based epidemiologic studies of pelvic organ prolapse are rare. One barrier is the need for physical examination in order to confirm disease status. The objectives of this study were to develop a simple screening question for pel ... Full text Link to item Cite

Reliability and agreement of urodynamics interpretations in a female pelvic medicine center.

Journal article Obstet Gynecol · August 2006 OBJECTIVE: To estimate the reliability and interobserver consistency of urodynamic interpretations of female bladder and urethral function. METHODS: Three urogynecologists and three female urologists at a tertiary care medical center reviewed masked, abstr ... Full text Link to item Cite

The incidence of ureteral obstruction and the value of intraoperative cystoscopy during vaginal surgery for pelvic organ prolapse.

Journal article Am J Obstet Gynecol · May 2006 OBJECTIVE: The objective of the study was to determine the incidence of ureteral obstruction during vaginal surgery for pelvic organ prolapse and the accuracy and efficacy of intraoperative cystoscopy. STUDY DESIGN: The study was a retrospective review of ... Full text Link to item Cite

Women seeking treatment for advanced pelvic organ prolapse have decreased body image and quality of life.

Journal article Am J Obstet Gynecol · May 2006 OBJECTIVE: Women who seek treatment for pelvic organ prolapse strive for an improvement in quality of life. Body image has been shown to be an important component of differences in quality of life. To date, there are no data on body image in patients with ... Full text Link to item Cite

Responsiveness of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women undergoing vaginal surgery and pessary treatment for pelvic organ prolapse.

Journal article Am J Obstet Gynecol · May 2006 OBJECTIVE: This study was undertaken to evaluate the responsiveness of the Pelvic Floor Distress Inventory (PFDI) and Pelvic Floor Impact Questionnaire (PFIQ) in women with pelvic organ prolapse undergoing surgical and nonsurgical management. STUDY DESIGN: ... Full text Link to item Cite

Textbook recommendations for preventing and treating perineal injury at vaginal delivery.

Journal article Obstet Gynecol · February 2006 OBJECTIVE: To assess general obstetrics textbooks regarding the quality and quantity of information about perineal injury at vaginal delivery. METHODS: An obstetrics and gynecology resident, a perinatologist, and a urogynecologist evaluated 7 obstetrics te ... Full text Link to item Cite

Functional bowel and anorectal disorders in patients with pelvic organ prolapse and incontinence.

Journal article Am J Obstet Gynecol · December 2005 OBJECTIVE: The purpose of this study was 1) to determine the prevalence of functional bowel and anorectal disorders as defined by the Rome II criteria in patients with advanced pelvic organ prolapse (POP) and urinary incontinence (UI), and (2) to determine ... Full text Link to item Cite

Anatomic relationships of infracoccygeal sacropexy (posterior intravaginal slingplasty) trocar insertion.

Journal article Am J Obstet Gynecol · December 2005 OBJECTIVE: The purpose of this study was to describe the distances of the major bony, vascular, neurologic, and visceral structures to the path of the infracoccygeal sacropexy trocar and to determine the point of trocar entry into the vagina. STUDY DESIGN: ... Full text Link to item Cite

Contemporary views on female pelvic anatomy.

Journal article Cleve Clin J Med · December 2005 Full text Link to item Cite

Ilioinguinal/iliohypogastric neurectomy for management of intractable right lower quadrant pain after cesarean section: a case report.

Journal article J Reprod Med · November 2005 BACKGROUND: Ilioinguinal nerve entrapment is one of the most common nerve injuries following pelvic surgery. We present a case of intractable right lower quadrant pain successfully treated with neurectomy. CASE: A 31-year-old woman, following her third ele ... Link to item Cite

Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7).

Journal article Am J Obstet Gynecol · July 2005 OBJECTIVE: To develop short forms of 2 valid and reliable condition-specific quality-of-life questionnaires for women with disorders of the pelvic floor including urinary incontinence, pelvic organ prolapse, and fecal incontinence (Pelvic Floor Distress In ... Full text Link to item Cite

Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery.

Journal article Am J Obstet Gynecol · May 2005 OBJECTIVES: The purpose of this study was to describe the time to adequate voiding, incidence of urinary retention, and predictors of voiding efficiency and urinary retention after tension-free vaginal tape (TVT) with and without concurrent prolapse surger ... Full text Link to item Cite

Incidence of perioperative complications of urogynecologic surgery in elderly women.

Journal article Am J Obstet Gynecol · May 2005 OBJECTIVE: The purpose of this study was to determine the incidence of and risk factors for perioperative complications in elderly women who undergo urogynecologic surgery. STUDY DESIGN: A retrospective chart review of patients > or = 75 years old who unde ... Full text Link to item Cite

Vaginal rugae: measurement and significance.

Journal article Climacteric · March 2005 OBJECTIVE: To devise a validated measure of vaginal rugae and assess the relationships between vaginal rugae and important clinical parameters. METHODS: Two techniques of assessing vaginal rugae were developed and their inter-/intra-observer variability as ... Full text Link to item Cite

The impact of stress urinary incontinence on sexual activity in women.

Journal article Cleve Clin J Med · March 2005 In women, stress urinary incontinence is a common problem that may lead to sexual dysfunction. We review the epidemiological data, the pathophysiology, and the risk factors for these two "closet" disorders, how they are related, how we can get patients to ... Full text Link to item Cite

Laparoscopic Burch colposuspension versus tension-free vaginal tape: a randomized trial.

Journal article Obstet Gynecol · December 2004 OBJECTIVE: To compare the laparoscopic Burch colposuspension with the tension-free vaginal tape procedure (TVT) for efficacy. METHODS: Seventy-two women from 2 institutions were randomized: 36 to laparoscopic Burch colposuspension and 36 to TVT. Multichann ... Full text Link to item Cite

Anal sphincter injury in women with pelvic floor disorders.

Journal article Obstet Gynecol · October 2004 OBJECTIVE: 1) To estimate the rate of anal incontinence and anal sphincter injury in a group of women with pelvic floor disorders; 2) to evaluate the relationship between anal incontinence and anal sphincter injury as demonstrated by endoanal ultrasonograp ... Full text Link to item Cite

Clinical evaluation of anterior vaginal wall support defects: interexaminer and intraexaminer reliability.

Journal article Am J Obstet Gynecol · July 2004 OBJECTIVE: The purpose of this study was to determine the interobserver and intraobserver reliability of the clinical examination of anterior vaginal wall support defects. STUDY DESIGN: Sixty-three patients with at least stage II anterior vaginal wall prol ... Full text Link to item Cite

Sexual function after surgery for stress urinary incontinence and/or pelvic organ prolapse: a multicenter prospective study.

Journal article Am J Obstet Gynecol · July 2004 OBJECTIVE: The purpose of this study was to assess sexual function in women after surgery for stress urinary incontinence and/or pelvic organ prolapse (UI/POP) at 3 and 6 months with the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ ... Full text Link to item Cite

Prevention of vesicovaginal fistulas after laparoscopic hysterectomy with electrosurgical cystotomy in female mongrel dogs.

Journal article Am J Obstet Gynecol · March 2004 OBJECTIVE: Using a previously described animal model, we sought to compare 3 methods of double-layer cystotomy repair to each other and to single-layer repair in the prevention of vesicovaginal fistula formation. STUDY DESIGN: Twenty-four female mongrels, ... Full text Link to item Cite

Innervation of the levator ani and coccygeus muscles of the female rat.

Journal article Anat Rec A Discov Mol Cell Evol Biol · November 2003 In humans, the pelvic floor skeletal muscles support the viscera. Damage to innervation of these muscles during parturition may contribute to pelvic organ prolapse and urinary incontinence. Unfortunately, animal models that are suitable for studying partur ... Full text Link to item Cite

Effects of race and clinical factors on short-term outcomes of abdominal myomectomy.

Journal article Obstet Gynecol · May 2003 OBJECTIVE: To estimate the effects of race and preoperative uterine anatomy on complication rates after myomectomy. METHODS: A total of 239 abdominal myomectomies were performed at Duke University Medical Center from July 1992 through June 1998. Charts wer ... Full text Link to item Cite

Early physician experience with laparoscopically assisted vaginal hysterectomy and rates of surgical complications and conversion to laparotomy.

Journal article Am J Obstet Gynecol · October 2002 OBJECTIVE: Our purpose was to determine whether the rates of conversion to laparotomy and surgical complication rate decrease with increasing physician experience with laparoscopically assisted vaginal hysterectomies (LAVH) in a large population-based admi ... Full text Link to item Cite

Innervation of the female levator ani muscles.

Journal article Am J Obstet Gynecol · July 2002 OBJECTIVE: The objective of this study was to characterize the innervation of the human female levator ani muscles. STUDY DESIGN: Detailed dissections of the peripheral innervation of the iliococcygeal, pubococcygeal, puborectal, and coccygeal muscles were ... Full text Link to item Cite

Management of uterine leiomyomata: what do we really know?

Journal article Obstet Gynecol · July 2002 OBJECTIVE: To systematically review the literature on the surgical and nonsurgical management of uterine leiomyomata. DATA SOURCES: Published literature in English on the management of uterine leiomyomata published from 1975 through 2000 was identified in ... Full text Link to item Cite

Sexual function in women with urinary incontinence and pelvic organ prolapse.

Journal article Obstet Gynecol · February 2002 OBJECTIVE: To compare sexual function in women with urinary incontinence and pelvic organ prolapse and to determine the effects of therapy on sexual function. METHODS: 343 community-dwelling women older than 45 years with urinary incontinence or advanced p ... Full text Link to item Cite

Tolterodine was effective and well tolerated for short-term treatment of urge incontinence

Journal article Evidence Based Obstetrics and Gynecology · January 1, 2002 Full text Cite

Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders.

Journal article Am J Obstet Gynecol · December 2001 OBJECTIVE: To evaluate the psychometric properties of the Pelvic Floor Distress Inventory (PFDI) and the Pelvic Floor Impact Questionnaire (PFIQ). METHODS: The PFDI and PFIQ are based on the structure and content of two previously validated questionnaires ... Full text Link to item Cite

Cost-effectiveness of universal cystoscopy to identify ureteral injury at hysterectomy.

Journal article Obstet Gynecol · May 2001 OBJECTIVE: To evaluate the cost-effectiveness of routine cystoscopy at the time of abdominal, vaginal, and laparoscopically assisted vaginal hysterectomy in terms of cost per ureteral injury identified and treated. METHODS: Using a hospital-based perspecti ... Full text Link to item Cite

Vaginal mesh erosion after abdominal sacral colpopexy.

Journal article Am J Obstet Gynecol · February 2001 OBJECTIVE: Our goal was to compare the prevalence of vaginal mesh erosion between abdominal sacral colpopexy and various sacral colpoperineopexy procedures. STUDY DESIGN: We undertook a retrospective analysis of all sacral colpopexies and colpoperineopexie ... Full text Link to item Cite

Management of uterine fibroids.

Journal article Evid Rep Technol Assess (Summ) · January 2001 Link to item Cite

Pelvic muscle electromyography of levator ani and external anal sphincter in nulliparous women and women with pelvic floor dysfunction.

Journal article Am J Obstet Gynecol · December 2000 OBJECTIVE: The purpose of this study was to compare results of electromyographic assessment of muscular recruitment between nulliparous control subjects without pelvic floor dysfunction and parous subjects with genuine stress urinary incontinence and with ... Full text Link to item Cite

Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse.

Journal article Am J Obstet Gynecol · December 2000 OBJECTIVE: The anatomic and functional success of suspension of the vaginal cuff to the proximal uterosacral ligaments is described. STUDY DESIGN: Forty-six women underwent vaginal site-specific repair of endopelvic fascia defects with suspension of the va ... Full text Link to item Cite

Clinical assessment of paravaginal defects.

Journal article Am J Obstet Gynecol · August 2000 Full text Link to item Cite

Effect of patient position on clinical evaluation of pelvic organ prolapse.

Journal article Obstet Gynecol · July 2000 OBJECTIVE: To compare the severity of pelvic organ prolapse between examinations performed in dorsal lithotomy position and examinations performed upright in a birthing chair using the Pelvic Organ Prolapse Quantification System (POPQ). METHODS: One hundre ... Full text Link to item Cite

Reply

Journal article American Journal of Obstetrics and Gynecology · March 2000 Full text Cite

Accuracy of clinical assessment of paravaginal defects in women with anterior vaginal wall prolapse.

Journal article Am J Obstet Gynecol · July 1999 OBJECTIVE: The objective of this study was to determine the accuracy of clinical assessment of paravaginal defects in women with anterior vaginal wall prolapse. STUDY DESIGN: A retrospective chart review of all women undergoing surgery for anterior vaginal ... Full text Link to item Cite